Oil is not required by hair.
The body produces its own oil for hair which contains growth factors.This oil gets suppressed when the source of lubrication is with coconut oil.
Also when you massage, telogen hair fall faster. After hair transplant the result will get delayed.
On the day of the procedure, contrary to what was told to him by the doctor, he discovered that the doctor had no role to play in the procedure except the slit making.
What course of action is available to him?
This practice is rampant not only in India but in many Western countries. The doctor does only the counseling and at most the slit making.
Most practices cover themselves up by getting consent signed after the patient has paid up the amount.
Some clinics also heavily sedate the patient.
The best course of action is to endorse in the consent form in your hand writing (and take a counter signature by the doctor) before making the payment that you will have recourse to legal action if the procedure is not done by the doctor as he claimed and that you shall be refunded the full amount in such an eventuality.
In fact this may be a case for criminal action by the police.
What I hope to get from this procedure is lowering my hairline as much as possible and filling in the temples to look in line with my hairline and with density, so I can have my hair combed up without being embarrassed with my naturally wide and big forehead and receding hairline.
I have attached a picture of a model to show how ideally I wish my hairline and temples to be.
This is my main goal that I wish to achieve from the procedure, but if possible, I am also interested in adding more hair to my thinning mid-scalp and crown area even with non-surgical procedures.
You are 26 and with obvious signs of ensuing extensive baldness.
Lowering the hairline is not in your best interests.
The hairline can be made but not like in the picture you have sent.
When you bald to type 5 or 6 which is very likely, a low placed hairline will look incongrous and therefore artificial, fake and un-esthetic..
Remember, the person you wish to copy does NOT have balding and therefore the hairline suits him.
The hair that have been planted are natural hair and will enter the hair cycle of anagen-telogen-catagen but whatever falls off shall grow back.There will be seasonal and stressful situations when more will fall than usual but unlike native thinning hair, they will always grow back.
The cost of hair transplant at any clinic is determined by market forces. If there is no-one to pay the amount we charge, the rates will obvious come down to Rs 36 as in other clinics or even lower as per the value determined by the client. Patients pay for the quality of work we do.
That is an unrealistic goal to expect and can never be met. Hair transplant is neither magic nor do we attempt to replicate God’s work.
Hair transplant is an illusion to the eye. Transplanted hair is usually no more than 50% of natural hair density.
After the result sets in you have to continue to groom your hair with the right shampoo and keep it long and blow dried.
If you wear the hair short or wet, this disparity between planted and native hair is evident and the illusion is lost.
Kindly reconcile your expectations.
PRP has no action on the operating surgeon or his staff. It only affects the patient’s growth potential.
Chest and scalp grafts are recommended for the crown since here the hair sit alongside the scalp skin and do not rise up much.
Beard grafts are solid grafts and will stand up and look weird since you will not be able to tame them.
I have people staring at me all the time which is disquieting to me. Kindly advise how best you can vover the scar on both sides, dimensions of which have been measured and marked in the attached picture. Thank you for your help.
Your condition arose since you got a procedure done at an early age when we cannot usually ascertain whether a person is a candidate for a hair transplant or not. We do not do a procedure before the age of 25 due to this very reason. Your dilemma seems to be that when you wear your hair long, the balding appears more prominent. Due to this you keep your hair short but then the strip scar becomes visible. On seeing your scalp donor, the grafts available are not encouraging at all since the hair are predominantly miniaturising. These hair will not withstand the transplant process and will not grow. Unfortunately even body grafts will not be able to hide the strip scar when hair is kept this short.
I will advise you to consider other options like SMP (scalp micropigmentation) and a hair piece.
Since the hair grew well till 6-9 months, the following reasons for the planted hair to fall off come to my mind-
(a) The FUT strip has been taken from very high up on the sides. This is the non-permanent zone which even in FUE we do not encroach upon
(b) There are a lot of miniaturizing hair. It could be due to this that the hair have fallen off.
(c) Sometimes doctors advise taking of Tab Propecia 3 months before to make the hair thicker. Once this drug is stopped, the hair that was miniaturizing and were sustained artificially due to the drug shall return to their original condition. Tis could have happened if this was the case with you.
(d) You should also rule out any skin disease. Kindly consult a dermatologist in your town.
The evidence of benefit is still anecdotal; but is increasingly being reported by many clinics of repute around the world.
Yes we offer it since a lot many patients do ask for the service.
Can you do this and how much does it cost for 5000 grafts from 1000 body hair grafts and 4000 beard and chest hairs... (all fue)
Though I have no pictures from you to base my advice on, I would like to advise that hair transplant using just body grafts is not a wise thing to do.
This is since body grafts do not match even closely those of the scalp in terms of texture, caliber or even color.
When used they are mixed with scalp hair in a given proportion so they lose their individual characteristics.
Let me know if I can help with further information.
It will be helpful to discuss if you can send me some pictures which I could study.
Following the success of pioneering clinics all over the world including India, FUE clinics have become extremely commonplace. It is estimated that in India alone, there are over 5000 FUE clinics operational. FUE clinics have a pecking order too like most health care delivery systems-
- 1. The doctor-centric doctor-administered Clinic
- 2. The technician- centric doctor-administered Clinic
- 3. The technician centric-entrepreneur administered clinic
- 4. The technician-centric technician-administered Clinic
The potential hair transplant candidate should do adequate research to determine the involvement of the doctor since the first hair transplant if improperly done can ruin his future chances of a successful hair transplant since the available donor gets depleted every time a procedure is done.
It is not solely due to steroid exposure though for a brief period.
The underlying cause is androgenetic alopecia which is inherited. The steroid exposure has only umasked it earlier. It would have appeared even otherwise.
You are going to bald quite quickly since it has happened at an early age.
Hair transplants done so early can often have their own unique problems.
We run the risk of putting too many grafts since only that would match your objectives as a young man- no contrast in density of planted hair to your natural hair density.
In so doing, we would be placing precious grafts in high density along the hairline.
If, God forbid, you develop extensive baldness, we would have erred since we would have prematurely depleted your scalp donor which is not infinite.
These same number could be better utilised in future with little lower density to cover extensive baldness.
I hope you understand.
However if this affects your psyche, I can offer to do a minimal number of 1200 scalp grafts to thicken the hairline.
The transection rate for harvesting planted hair due to scarring is almost 30%.
Also, you need to keep in mind that all hair roots reside under the skin and undergo cyclical shedding (telogen, catagen phases) only to regrow in the anagen phase.
Since some hair will not be visible over the skin when you come, it shall need around 2-4 sittings which is a cumbersome and costly process specially if you are traveling from abroad.
Scarring will not be visible after hair are transplanted back.
Every clinic has their own unique experience, ethics and commercial compulsions.
I can only speak for myself and for you. For you I can tell you, you will badly repent a hair transplant done so early.
All people will have different hairline designs with us and this will depend upon several factors-
- 1. The availability of grafts in the long term if you are likely to become extensively bald. This can be assessed by current thinning pattern and/or family history of baldness.
- 2. Every face is differently contoured and where a flat hairline is best suited for a rounded face, a more angular hairline will look more esthetic in a patient with a longish or square face.
- 3. Africans have a straight and flat hairline with minimal indentations and the fronto-temporal angles are acute.
You have thinning but no significant balding at this moment.
However the condition will progress to baldness over time. How much time it will take cannot be predicted scientifically!
Unfortunately, in your present condition you are not a candidate for a hair transplant. Also we do not encourage hair transplants before 25 years of age.
I will also caution you against getting a hair transplant on a whim since this will be detrimental to your overall hairloss treatment plan in future.
In your present situation a hair transplant can be counterproductive since there is a great risk of "shock loss". The appearance after shock loss will be far worse than it appears to you at the moment.
You shall have to be patient and wait.
Meantime you can follow the following advice-
1. Wear your hair longer- 1- 1 1/2 inches long
2. Use a mild shampoo like Johnson’s Baby Shampoo just thrice a week. On other days you can wash your hair only with water.
3. Sleep well and reduce stress in daily living to whatever amount you can.
3. Tab Biotin 5 mg at night.
4. In consultation with a local doctor you may be advised 5% Minoxidil and PRP treatment
5. Do not wear a cap for long. Let your scalp breath.
6. Apply hair thickening fibre like www.toppik.com in areas where there is seemingly less density
In India, as in the USA and other countries, the skin incision is to be made by the doctor alone. In hair transplant this entails the following steps-
2. Making of slits
All other processes can be delegated to trained assistants like plantation, dressing, etc under the doctor’s supervision.
My position is at-
Please read the ISHRS statement –
ISHRS LEGAL UPDATE October 2016:
DELEGATION OF SURGERY IN HAIR TRANSPLANTATION
The ISHRS shares, from time to time, legal developments on issues potentially affecting members. One such issue is the permissibility of delegating portions of hair restoration procedures to unlicensed personnel. In the United States, a physician’s authority to delegate to unlicensed personnel varies from state to state, and depends on each state’s regulatory scheme. Many states prohibit the delegation of surgery or medical tasks to unlicensed personnel.
The Florida Board of Medicine issued a Declaratory Statement in June 2016 that states that, "surgical excisions and incisions related to the transplantation of skin grafts goes well beyond the assisting of physicians." The Florida Board of Medicine further explained Section 458.3485, Florida Statutes, did not authorize the petitioning physician:
to delegate the task of harvesting follicular units consisting of the excision of skin, subcutaneous tissue and hair follicles by use of a scalpel, micro-punch, motorized surgical extraction device or similar surgical instrument or device and incising the scalp for transplanting such grafts, to a medical assistant, or any other person who is not licensed as a health care practitioner and appropriately trained or otherwise experienced in the performance of such surgical procedures, in an office setting.
The Florida Board of Medicine’s Declaratory Statement is consistent with Resolution 16-130 adopted by the Florida Medical Association ("FMA") in 2016. In particular, the resolution provided:
RESOLVED, [t]hat the Florida Medical Association oppose the use of unlicensed personnel and/or medical assistants to perform critical-to-quality steps of hair restoration surgery, such as re-distribution planning, donor harvesting of follicular units via FUE or strip methods, and creation of recipient sites; and be it further
RESOLVED, [t]hat the FMA oppose the use of unlicensed personnel and/or medical assistants to perform the diagnosis or treatment of hair loss conditions; and be it further
RESOLVED, [t]hat the FMA support legislative efforts to prohibit the use of unlicensed personnel and/or medical assistants to perform hair restoration evaluation, diagnosis, and/or critical-to-quality steps of hair restoration surgery, such as diagnosis of hair loss etiology, hair re-distribution, planning, donor harvesting of follicular units via FUE or strip methods, and creation of recipient site.
An earlier decision by the Virginia Board of Medicine is also consistent with the Florida Board of Medicine’s Declaratory Statement and the Florida Medical Association’s recent resolution. In 2011, the Virginia Board of Medicine instituted disciplinary proceedings against a physician who permitted unlicensed individuals to regularly incise the scalp and insert hair grafts without direct supervision, which the Virginia Board of Medicine concluded in December 2011, violated 18 VAC 85-20-29.A(1), a regulation that prohibits knowingly allowing subordinates to provide patient care outside of the subordinate’s scope of practice or area of responsibility.
The prohibition on the delegation expressed by the Florida Board of Medicine and the Virginia Board of Medicine are consistent with the ISHRS’s position on delegation announced in the ISHRS Position Statement on Qualifications for Scalp Surgery, available at http://www.ishrs.org/content/qualifications-scalp-surgery. These procedures should only be performed by a properly trained and licensed physician, or in countries where allowed, a licensed allied health professional within the scope of his or her license.
In addition to the foregoing examples from the United States, there are also recent international examples of charges being leveled against non-doctors performing hair restoration surgery. In September 2016, the Istanbul Attorney General’s Office charged two individuals with treating patients without a diploma following a police raid that allegedly revealed them performing hair transplant surgeries at a clinic without a doctor being present. As of this writing, the case against these two individuals is pending, and the Attorney General’s Office has requested prison sentences of 2-5 years.
The foregoing examples reinforce the importance of physicians, allied health professionals, and unlicensed persons involved in hair restoration to understand the legal restrictions on delegation in the jurisdictions in which they practice. Physicians, allied health professionals, and unlicensed persons involved in hair restoration surgery should carefully consider a number of factors in deciding whether delegation of a hair restoration surgery task is legal, ethical, consistent with the standard of care, and in the patient’s best interests, including, whether:
(i) The delegation is legally permissible, consistent with the applicable standard of care, and consistent with the codes of ethics to which the physician or allied health professional is bound;
(ii) The unlicensed personnel has adequate education, training, and experience to perform the delegated tasks;
(iii)The level of supervision a physician must provide to the individual to whom the task is delegated (e.g., direct, in the same facility, available by phone, none) is being met;
(iv) Malpractice insurance covers the physician and unlicensed personnel;
(v) The patient provides informed consent for the procedure, including the delegated portion of the hair transplant surgery; and
(vi) Delegation of a portion of the hair transplant surgery is in the patient’s best interest.
In summary, when deciding whether the delegation of medical tasks associated with hair restoration surgery is legal, ethical, and in the patient’s best interests the physician and other individuals involved need to research and consider a number of factors. Relying on what others do or the assurances of a sales representative puts all those involved, including the patient, at risk. Accordingly, the ISHRS encourages physicians, allied health professionals, and unlicensed persons involved in hair restoration surgery to research and understand the legal restrictions on delegation in the jurisdictions in which they practice.
Yes these shall be done one evening prior in our own lab in the clinic.
If you have not got a routine health check up done recently, it would be appropriate for you to get one done if you are traveling from a distance to avoid disappointment. We mostly worry about-
- 1. Uncontrolled diabetes
- 2. High blood pressure
- 3. Bleeding disorders (also patients on blood thinners)
If I do not feel that density can be improved then I simply will not perform surgery in the area. It is a simple matter but from what I see in your photos improvements can be made. I wish to be crystal clear, there is always a chance of some shock loss from this procedure but there are two types of shock loss to be aware of. Permanent and temporary. Permanent is caused from transection of native hair during recipient site creation and this is what we wish to avoid. Shaving the recipient area allows me to better see the spaces in between your existing hairs thus it becomes easier to avoid these hairs and damaging them. Temporary shock however cannot be predicted accurately and it is simply a physiological response to the surgical trauma. The issue is usually resolved between three to five months post surgery.
These are normal concerns. Again, to be crystal clear up front, once the procedure is done and you see the final result it might have some indicators that YOU can identify as being a result of surgery but overall I feel that the result will look natural and will not be identifiable as being a surgical result by anyone around you. You will have increased coverage, higher density and a natural aspect. I am confident in my abilities based on my skillset and my experience but, as the saying goes, you can’t please everyone at the same time:) This is just a fact of life. I think this is one of the reasons why I’m successful with this speciality. I try to be honest with my patients and do the best work that I can. It is a simple thing, really, but apparently not so simple for most:)
I encourage this type of thinking because I feel that patients should recognize that this is an elective procedure and there are no guarantees. It is disingenuous, I believe, to make any promises other than the promise that I will do the very best job that I can. Anything more is asking for the impossible.
There is a lot of misinformation about FUE spread by some FUT only doctors due to reasons best known to them. The FUE long term result is the same as the FUT long term result provided you do not go to an FUT doctor for FUE and to an FUE doctor for FUT.
You need to come one evening before the procedure to Chandigarh at 3 M for a pre-consultation (except Sundays) and can leave the next day after the procedure- total 2 nights in Chandigarh. You can even return to North America which is a 25 hour journey ,rather safely. Our precision procedures allow you to travel the very next day since due to the controlled technique there is no facial swelling and pain post procedure.
When done alongwith the hair transplant-
- 1. It aids in healing
- 2. Anesthesia is already given for the hair transplant and PRP procedure will be painless.
The Neograft/ARTASRobot is for clinics that do not do FUE routinely. You will find them also in clinics where the modality is mostly FUT strip surgery.
In the Neograft, the assistants’ role is removed as a suction force extracts the grafts after the technician/surgeon has scored around the graft. The force is powerful and mostly injures the grafts causing poor growth.
You may be surprised to know that unlike what is touted, the FUE system does not do the hair transplant, It is the experience, dexterity and wisdom of the hands and mind behind the system that counts towards a pleasing result.
Firstly, you will never be able to replicate the density of a weave that is more than natural density by twice the amount.
With a hair transplant we can give you 50% of natural density in the first session.
However this looks like natural since the placement of grafts is done in a manner that lesser grafts look a lot more.
Hair transplant simply stated is an illusion to the eye.
This illusion disappears when you wet the hair or trim your hair real short.
I can see from hairrestorationnetwork.com a lot of Dr Bhatti's work which is very impressive, but there are also occasional cases I have seen where the grafts are not densely packed at all, and where patients seems disappointed about this.
Are you able to explain why the density is low?
This is really the only concern I have as I want to have high density. I'm just curious as the reasoning behind placing the grafts like this as I do not want to have subsequent transplants in the near future.
Thank you for your question. I cannot discuss the cases that you reference as this would be breaking patient confidentiality. However, I can address the issue overall by saying that not all patients can receive equally high density in one session as some would like. It comes down to the patient tissue. When we are dense packing we have to place each incision close together but the challenge lies in that some patient’s tissue is brittle and breaks down more easily than that of other patients. This "bridge" , if you will, simply disintegrates and creates a wound that can be three times bigger than the intended size of the original recipient site so when this happens we must back off of the desired density and come in at a lower density, with additional adjustments.This is a physiological issue alone and is not dependent on tools or doctor skill. If anyone tells you differently then they are not experienced with density or they are not admitting to the issue that challenges every hair transplant doctor worth their diploma.
I have yet to determine if this is due to environmental factors such as nutrition or genetic factors but it is indeed an issue that exists for some patients. Others do not have this problem and where higher densities are indicated they are met without problems or complications. Be warned. No doctor can guarantee that you will not need a second pass for additional density. If they do, you should walk away as this is simply a fact of hair restoration surgery. Sometimes the desired density cannot be realistically met, either due to the inherent limitations of hair restoration surgery or the unrealistic, uneducated expectations of the patient, or both.
I hope this helps.
Yes they are healthier in the hands of FUT surgeons like FUE grafts are healthier in the hands of FUE surgeons. Provided you choose your surgeon correctly.
Thank you for the mail with pictures of your type 3 pattern.
You have reverse balding from the nape of the neck upwards which is going to continue its upward ascent and reduce your scalp donor.
Any hair transplanted from this region will not be permanent and will shed over time.
I feel you should allow the balding to progress for another year and then send me comparative pictures in the same angles these have been taken.
You should be cautious in your approach since whatever grafts available are precious in your case and a misadventure will cost you money and emotions invested.
I look forward to following up with you in future.
I have not seen keloids appearing in the scalp donor or the recipient site ever even in patients with previous keloid formation and strong family history.
Keloids form in areas of tension (due to meeting of skin tension lines like ‘fault lines’) overlting bony prominences like the presternal region of the chest, front of knee and shoulder point.
Though the scalp lies over bone, the underlying bone is round and the skin is loose and mobile.
Theoretically keloids can occur over the occipital protuberance but we do not harvest from this region.
However, if keloid formation has occurred on minimal needle pricks before, it would be advisable to do a test procedure and wait for 6 months.
It is never a good idea to increase density in the crown. As they say it is the ‘black hole of hair transplant’!
This is since the crown expands circumferentially with ongoing balding and this greatly increases the surface area that will need further plantation.
If it were to be filled with the same density as the hairline, it would consume all grafts available.
If we are to do a high density plantation presently as suggested by you, when the crown expands we will not be able to replicate the same density in the surrounding and it will give a halo effect since we would have run out of grafts.
I strongly caution you against high density for the crown.
Most people coming from outside like to choose the premium package due to car transfers. Also the new punch gives lower transection rate.
This is of advantage only for extensive balding where we need greater yield. Even a 2-3 % higher yield is important.
Otherwise there is no difference in result.
Yes, there is a direct non-stop flight to/from Chandigarh.
All hair should go in within 6 hours of harvesting.
We do 3500-4000 scalp and body grafts almost every other day and have never exceeded the out of body time for grafts.
However if there is difficulty in harvesting and it is taking long, I will myself do the remaining procedure on the subsequent day.
Yes most likely there will be shock loss. It can be mitigated by starting Propecia in the dosage 1 mg a day atleast one month before the procedure.
However, even without Propecia, shock loss will happen only within the crown area and not around.
The thinning hair may permanently be lost but then why would you wish to preserve them since, as it is, they are on their way out.
We can avoid going too close to them but this will alter the overall result which will be less dense and when these thinning hair which are in the balding zone fall off, theer will be loss of density.
Propriety lies, therefore, in ignoring the thin hair and planting in optimal density.
Since you have already got an FUT done, I will suggest you again go for an FUT procedure since the prime advantages of going for an FUE is now lost. You now have a linear scars. Another FUT procedure will not give you 2 scars!
Once the FUT procedure is done and when the scalp due to resulting tightness will not allow another you can contact me for an FUE procedure. This will be optimal utilisation of the scalp donor given that you already have a linear scar.
Other advantages of FUE in isolation are:
- 1. Less downtime
- 2. Less postoperative discomfort
That will not be possible since your counseling has to be done, blood tests have to be carried out and you are to be given medication the night before the procedure.
We would also like you to digest overnight the points discussed during the pre-consultation so the next day there are no surprises!
Also, I have seen that clients who come in the same day have anxiety and due to which we have had to on occasion cancel the procedure due to elevated BP.
One gets a procedure done once or twice in a lifetime and so I do not wish that you spoil your best chance to a great result by being careless with timings wherein if you reach late due to a traffic jam (or any other reason) we rush to finish your case against a time deadline.
Firstly, afrotextured hair on the scalp has a very low density. if other racial groups (Caucasians, Asians, Arabs) have 100 hair per cm sq, Africans have a mere 15-20 per sq cm
and that too in those who are well endowed. Therefore it is impossible that in an African any doctor can take out more than 1200-1500 scalp grafts in one sitting using FUE technique. Further harvesting may not be possible since ‘skin show’ may result.
Secondly, with FUE technique around 60% afrotextured hair is not favorably disposed for a procedure due to the s-shaped bend of the shaft under the skin.
FUE being a blind procedure, the transection may be very high.
The best way to make sure that FUE is suitable for people with afrotextured hair is to do a test grafting of 50 hairs.
FUT may be ther better technique for African hair. However, since keloids occur more commonly in your racial group, this may be a problem.
Overall, African hair transplant is a challenge.
We do 10-12 such cases each year.
I have seen that Eastern Africans (Somalia and nearby countries) have a far straighter hair direction than other Africans. However the hair density remains the same.
There is no medicine in allopathy that does not have side effects.
If the benefits far outweigh the benefits and if side effects occur rarely and are temporary there is good reason to take them.
1. Sudden stress.
2. Stopping of Finasteride and Minoxidil
3. Hair straightening, perming or hair spa.
65 per sq cm. However how many grafts should be placed will depend upon-
1. Availability of grafts and likely future needs since donor hair are finite.
2. Skin condition- though some skin type can accept high density, others will just not. It all depends upon whether the grafts will survive when placed so close together. This can be assessed only during the procedure. If pushed beyond rational density, no grafts will survive. This is where the surgeon’s expertise and judgement plays a part. You must have heard of high density hair transplants with very poor eventual hair growth after 6 months?
Yes- PRP, SMP (scalp micropigmentation) and hair piece are alternatives.
Nothing is a substitute for a hair transplant where you get real hair and gives a natural look. Most other treatments are temporary.
Look out for Cloning which will be a big splash in the pond of hair transplant in the not so distant future.
FUE is a minimally invasive procedure and if done with due care. the scars are barely perceptible and definitely not if hair length is 1 mm.
Your condition can be due to any (or all) of the following reasons-
- Hypertrophic scarring- this happens in 0.5% individuals
- larger punch size used
The punch of an FUE system creates a 0.75 mm hole which heals by contraction and forms a pinpoint scar half the size of the original hole.
In fair skinned, it is difficult to detect even from up close.
The darker the skin, the more the contrast between the scar tissue and normal skin and hence greater the visibility.
However, with hair length 1 mm it is still not discernible.
There is more to hair transplant than meets the eye; so I encourage you to take your time and do your research well and not leap blindly in good faith.
It is not the low survival of body grafts but the late appearance of the result that may be of concern in the impatient patient.
Hair from the body have a longer growth cycle upto 18-24 months unlike 6 months for scalp hair.
No, we do not have the Robot. No center in India has it yet.
I will, however, be the first to buy it when the Robot surpasses results which I presently give to my clients.
However, if you wish a Robotic transplant, you can search doctors who have the Robot at-
Wishing you the best in your hair transplant journey.
If you choose to have a procedure with us, the fee charged for consultation shall be adjusted in the final bill. Once a patient is operated in the clinic, there are no future charges for follow up or consultation.
FUT on the other hand leaves a linear scar.
Also the thin new hair that grow at 3 months + mark will continue to get detached due to the strength of the strong electric charge emanating from your woolen cap..
3. Racial characteristics
4. Previous strip procedure
5. Dimensions of the head
It is often said that the crown area is the “Black hole” of hair transplant. It consumes too many grafts without even giving the semblance of coverage like the planted hairline. The reasons are 2 folds-
1. The crown is seen end-on while the hairline is seen side-on. In the hairline we see the illusion of greater density since the images of hair at a distance overlap with those of the front few rows making it look a lot denser. This is akin to seeing the forest from the road and then from the top of a mountain- when you see it from the road, the density appears much better while when seen end- on from the mountain top, the density is lesser. Hair transplant is creating an illusion of density. We can never match God’s creation. With minimal grafts we can make the bald spot look denser. It’s also common sense- when the crown/vertex area looses around 30,000 grafts before becoming bald, how can we create the same density with 5000 grafts alone!
2. The density in the crown area is 30 per sq cm while that at the hairline is 55-65 per sq cm. The density has to progressively decrease as we go back towards the crown otherwise we shall run out of grafts just midway to the crown. These are the reasons why hair transplant surgeons are never as gung-ho about the crown area.
We routinely do the “no shave” technique procedure for cases requiring an average 2000 grafts. The term “no shave” is a misnomer since it is a must to have hair awaiting extraction to be shaved down to 1 mm in length in order to accomplish an FUE procedure. However, these stripes (not to be confused with strips) are not visible due to overlapping of hair from above and hence the donor site looks the same after a hair transplant procedure. The common denominator for a “no shave” technique is long hair at the back of the scalp long- enough to cover the shaved stripes from where the grafts are going to be extracted. The following are the number of average grafts that can be taken based on given hair length over the donor area in an individual with 100 hair per cm sq- ½ inch length- 1000-1200 1 inch length-1200- 1500 1½ inch length- 1500-1800 2 inch length- 1800-2000 2½ inch length- 2000-2500 It is impossible to extract more than 2500 grafts in this technique since the hair lower down over the neck are spared and so are the thin hair bearing stripes which go untouched.This limits the extraction of greater number of grafts. If a patient with the same variables were to get a “full shave” FUE, up to 4000 grafts can be extracted.
Dr Bhatti does one large case (3500 grafts) and one small case (1500-1800 grafts) on a typical day. This is so planned that the 2 cases finish by 7 PM. Dr Bhatti does the counseling, hairline design, trimming of hair, anesthesia, harvesting of grafts, anesthesia over the recipient site and slit making. The plantation is done only by his trained staff. The world over the best centers have planters who perform this part. If you say how much time Dr Bhatti is actually with the patient- A typical patient’s case(3000 grafts) starts at 7.30 AM
7.30 AM- 8 AM: Counseling, hairline design, trimming (Dr Bhatti)
8 AM- 8.30 AM: Anesthesia (Dr Bhatti)
8.30 AM- 11.30 AM: Harvesting of grafts (Dr Bhatti)
11.30 AM- 12 noon: Anesthesia and 8Slit making (Dr Bhatti)
12 noon- 12.30 PM: Break
12.30 PM- 2.30 PM: Plantation (Team of Planters)
2.30 PM- 2.50 PM: Lunch
2.50 PM- 5 PM: Plantation (contd.)
6 PM- 6.15 PM: Dressing change and instructions for the evening ( Dr Bhatti)
Warranty/ guarantee is an illegal practice in medicine and we do not engage in commercial behavior like this. However if you research us well you will know where our clinic stands as far as hair transplant results and consequent satisfaction is concerned and where others who offer questionable “guarantee” do. If you wish you can name the surgeon and I will show you a host of his dissatisfied clients whom we have revised. I personally stand by all my results.
a. Wearing a cap/helmet (even in Bangalore)
b. When there is lack of cool air at the place.
c. While taking meals (Even in a decently air conditioned environment)
Does any of the above reasons, make me a non-candidate for HT or diminish HT results?
Back and sides of the scalp
Body hair- chest, beard, underarms, groin, etc.
These hairs from the permanent zone when transplanted grow for a lifetime.
You should be above 21 years of age if you are suffering from male pattern baldness.
Your density in the recipient area (area of balding) should be less than 50% or else there might be a risk of shock loss.
You should have an adequate donor site and for this you need to take an online consultation.
You should have realistic expectations from a hair transplant.